2 days
We reach out within two business days of discharge, so nothing is missed in the first week home
2,600+
Members served across Washington State
70+
Experienced care coordinators across King and Pierce County
Our Service
What Care Transition Coordination Includes
Care Transition Coordination supports you or a loved one returning home after a hospital stay, a skilled nursing facility stay, or another qualifying inpatient stay. Our team helps make the move home safer and less stressful. Our goal is a safe recovery at home, with fewer trips back to the emergency room or hospital.
What's included
What We Provide in Your First Two Months Home.
Support starts fast: one of our care coordinators contacts you within two business days of discharge, and it's not just a scheduling call. Your service window begins the day you leave and runs one to two months, per DSHS contract terms, with telehealth visits, in-home visits, or both, so care follows you home.
Discharge Summary Review
We review your discharge summary and follow up on pending tests and treatments so nothing gets missed.
Medication Reconciliation
We go through every medication against your discharge orders so nothing conflicts or falls through.
Provider Coordination
We coordinate with your treating providers and help schedule the follow-up appointments that keep recovery on track.
Community Resources & Referrals
We connect you with community resources and referrals as needs come up during your recovery.
Patient & Family Education
We teach you, your family, and your caregivers how to manage the transition home with confidence.
Telehealth & In-Home Visits
Care follows you home with telehealth visits, in-home visits, or both, whatever works best for you.
Eligibility
Who Qualifies for This Benefit
This benefit is for people with an approved WA Cares Fund benefit: you met the contribution requirement, generally three or more years of WA Cares payroll deductions, and the care needs requirement, assessed as needing help with three or more activities of daily living for at least 90 days. You also need an available benefit balance (the 2026 lifetime maximum is $36,500) and a discharge from an inpatient or acute care setting, such as a hospital stay (including observation), a long-term care hospital, or a skilled nursing facility.
Private Pay
Prefer to start right away? Private pay lets you begin Care Transition Coordination without waiting on a WA Cares application or approval. You choose the level of support that fits your family, and services can begin within days. [Package tiers and rates coming soon.]
WA Cares Fund
Bridging Care is a registered WA Cares Fund provider for Care Transition Coordination. The WA Cares Fund helps eligible Washington residents pay for long-term care services that support independence and aging in place. If you qualify, you may access up to approximately $36,500 in lifetime benefits toward covered services from an approved provider like Bridging Care.
What We Are Contracted For
Bridging Care is currently contracted to provide Care Transition Coordination under WA Cares. WA Cares covers a broader range of services, and other approved providers offer those. We can point you to the WA Cares Provider Directory for anything beyond our contracted service.
WA Cares Fund
Using Your WA Cares Benefit for Transition Care
The WA Cares Fund helps eligible Washington residents access covered long-term care services and supports that promote independence and aging in place. You can start the application by creating an account at wacaresfund.wa.gov/apply. If approved by DSHS, you will receive an approval letter and benefit information by mail. Eligible individuals may access up to approximately $36,500 in lifetime benefits for covered services from approved WA Cares providers. Bridging Care is currently contracted to provide Care Transition Coordination under WA Cares.
How clients access WA Cares services for Transition Care:
1. Apply for WA Cares benefits at wacaresfund.wa.gov/apply. DSHS reviews eligibility, and your approval letter and benefit information arrive by mail
2. Contact Bridging Care directly, or find us in the WA Cares Provider Directory
3. We review eligibility, discuss services, and verify available benefit funds, then submit a pre-authorization through ProviderOne
4. You, or your legal representative, approve the authorization in your WA Cares account, and services begin after approval
For healthcare professionals
Referring a Patient
Refer a patient to Bridging Care's Care Transition Coordination Program. We coordinate directly with your team to support a safe transition home, including medication review, follow-up scheduling, and caregiver education. Call (844) 224-3578 or email info@bridging.care to submit a referral.
01
Discharge Planners
Hand off patients with confidence. We make contact within two business days of discharge.
02
Hospital Case Managers
We review discharge instructions and reconcile medications so your plan carries through at home.
03
Nursing Homes
We support residents heading home with follow-up scheduling and family caregiver education.
04
Senior Living Teams
We keep your community informed and connect residents to the right community resources.